Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Akron (OH); Remote; USD 77,000 - 143,000; Full time

Job summary

A leading healthcare organization is seeking a Program Manager for their Medicare Stars and Quality Improvement initiatives. This remote role involves overseeing projects, collaborating with teams, and ensuring effective implementation of quality improvement strategies. The ideal candidate will have experience in Medicare Stars program management and a strong focus on process improvement. Join a dynamic team dedicated to enhancing healthcare quality and outcomes.

Qualifications

• 3-5 years of Medicare Stars Program and Project management experience.
• Knowledge of Star Ratings & Quality Improvement.
• Experience in a highly matrixed organization.

Responsibilities

• Oversee, plan, and implement healthcare quality improvement initiatives.
• Collaborate with teams impacted by Medicare Quality Improvement programs.
• Monitor projects from inception through delivery and outcomes measurement.

Skills

Communication

Leadership

Process Improvement

Education

Bachelor's Degree

Graduate Degree

Tools

Microsoft Project

Visio

Job description

Program Manager, Medicare Stars & Quality Improvement (Remote)

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Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

Job Description

Job Summary

Molina Medicare Stars Program Manager oversees, plans, and implements healthcare quality improvement initiatives and education programs. Responsible for Medicare Stars projects involving enterprise, department, or cross-functional teams, delivering impactful initiatives from design to outcomes measurement. Monitors programs from inception through delivery and may oversee external vendors. Assigns, directs, and monitors system analysis and program staff. The primary focus is project/program management for Stars Program and Quality Improvement activities.

Job Duties

• Collaborate with teams & health plans impacted by Medicare Quality Improvement programs, delivering products from design to completion.
• Support Stars program execution, governance, outcomes measurement, and initiatives to improve Star Ratings.
• Plan and direct schedules, initiatives, and project budgets.
• Monitor projects from inception through delivery and outcomes measurement.
• Engage and oversee external vendors as needed.
• Focus on process improvement, organizational change management, and program management related to Medicare Stars.
• Lead and manage teams in planning and executing Star Ratings strategies & programs.
• Serve as the Medicare Stars subject matter expert and lead programs to meet critical needs.
• Communicate and collaborate with health plans to analyze needs and develop functional requirements.
• Deliver necessary artifacts and reports.
• Work with enterprise and health plan leaders to identify process improvement opportunities.
• Monitor and track KPIs, programs, and initiatives to assess effectiveness.
• Create business requirements documents, test plans, traceability matrices, training materials, and other documentation.

Job Qualifications

Required Education: Bachelor's Degree or equivalent experience.

Required Experience/Skills: 3-5 years of Medicare Stars Program and Project management experience, knowledge of Star Ratings & Quality Improvement, operational process improvement, Medicare experience, proficiency with Microsoft Project and Visio, excellent communication skills, and ability to partner with leadership.

Preferred Education: Graduate Degree or equivalent experience.

Preferred Experience: 5-7 years in Medicare Stars Program or Project management, managed care experience, and experience in a highly matrixed organization.

Interested Molina employees should apply through the intranet. Molina Healthcare offers competitive benefits. EOE M/F/D/V.

Pay Range: $77,969 - $142,549 annually. Actual pay varies based on location, experience, education, and skills.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Project Management & IT
• Industries: IT Services & Consulting